Ob-Gyn Coding Alert

Hysterectomy, Part 4:

Give Your Hysterectomy Coding A Clean Bill of Health

Can you separately report a hysterectomy and a biopsy? Find out.

Avoid inaccuracy flare-ups by checking your hysterectomy coding with this quiz. Read the following seven scenarios and decide how you would code these situations. Look at the answers later in this issue to see if your hysterectomy coding is the picture of health.

Scenario 1: A patient undergoes a total abdominal hysterectomy, bilateral salpingo-oophorectomy (TAH/BSO) and a cervical biopsy during the same surgical session. 

Scenario 2: A patient undergoes a total vaginal hysterectomy (TVH) and the repair of an enterocele. 

Scenario 3: The ob-gyn performs a Burch procedure along with a TAH/BSO. 

Scenario 4: An ob-gyn performs a vaginal vault suspension at the same time as an abdominal hysterectomy. 

Scenario 5: Your ob-gyn performs a laparoscopic supracervical hysterectomy. 

Scenario 6: The ob-gyn performs a total abdominal hysterectomy with lymph node sampling and partial vaginectomy, and the patient returns 65 days later for a partial vulvectomy. 

Scenario 7: Your ob-gyn performs a vaginal hysterectomy with both an anterior repair and rectocele repair.

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